hard · NCLEX-RN Psychosocial Integrity

The patient becomes increasingly agitated, attempting to strike the nurse while shouting.

Which action should the nurse take first?

  1. Speak in a low, calm voice and move to a safe distance
  2. Apply physical restraints to prevent injury to the patient
  3. Reassess the patient's level of orientation to time and place
  4. Call the provider to request a STAT sedative medication
  5. Request the spouse to leave the room for her own safety
  6. Firmly explain to the patient that his mother is deceased

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